The intersection of child protection and healthcare: Paediatric social admissions

IF 0.9 4区社会学 Q3 FAMILY STUDIES

Child Abuse Review Pub Date : 2024-11-18 DOI:10.1002/car.70006

Leanne Stapleton

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引用次数: 0

Abstract

Objectives

In the context of a national shortage of specialist placements for children with complex needs in Ireland, this study examines the impact of healthcare professionals' management of paediatric social admissions (PSAs) in paediatric hospital settings, with particular attention to the child protection and welfare challenges encountered.

Design and Participants

A qualitative research design was utilised, employing semistructured interviews with healthcare professionals as the primary data collection method.

Findings

Thematic analysis of the interviews identified three principal themes: the spectrum of social admissions, influences and barriers, and the moral imperative of managing PSAs. The study found that social factors significantly influence the management and decision-making processes in paediatric cases, often resulting in prolonged hospital stays. The findings highlight complex child protection issues, including severe shortages in specialist placements and the frequent discharge of children to environments other than their homes.

Conclusions

The children involved in this study often remained in acute care settings for protracted periods, ranging from 6 months to several years. These extended stays deprived them of normal routines, education, and family life, underscoring substantial child protection concerns. This study calls for urgent systemic improvements to address these issues and ensure that the rights and well-being of children involved with PSAs are upheld.

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儿童保护与医疗保健的交叉点：儿科社会接纳

研究目的在爱尔兰全国缺乏为有复杂需求的儿童提供专业安置的背景下，本研究探讨了医护人员在儿科医院环境中管理儿科社会收容（PSA）的影响，尤其关注了在儿童保护和福利方面遇到的挑战。设计与参与者采用定性研究设计，以对医护专业人员进行半结构化访谈作为主要数据收集方法。研究结果对访谈进行的主题分析确定了三个主要的主题：社会接纳的范围、影响和障碍，以及管理公共服务协议的道德要求。研究发现，社会因素对儿科病例的管理和决策过程有重大影响，往往导致住院时间延长。研究结果凸显了复杂的儿童保护问题，包括专家安置点严重短缺，以及儿童经常被送往家庭以外的环境。结论本研究中涉及的儿童经常在急症护理环境中长期住院，时间从 6 个月到数年不等。这些长时间的住院剥夺了他们正常的生活规律、教育和家庭生活，凸显了儿童保护问题的严重性。本研究呼吁对系统进行紧急改进，以解决这些问题，并确保参与公共服务机构的儿童的权利和福祉得到维护。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Abuse Review Multiple-

CiteScore

3.20

自引率

6.20%

发文量

期刊介绍： Child Abuse Review provides a forum for all professionals working in the field of child protection, giving them access to the latest research findings, practice developments, training initiatives and policy issues. The Journal"s remit includes all forms of maltreatment, whether they occur inside or outside the family environment. Papers are written in a style appropriate for a multidisciplinary audience and those from outside Britain are welcomed. The Journal maintains a practice orientated focus and authors of research papers are encouraged to examine and discuss implications for practitioners.